Clotting of blood during or after a pregnancy is fairly common these days. While the reasons for these are numerous, the driving reason behind this being that the mother is weak after such an ordeal and it is, therefore, likely to affect her health. In pregnant women, blood clots tend to form in the deep veins present in the legs or near the pelvic area. The condition is known as Deep Vein Thrombosis (DVT). One of the main concerns for people suffering from Deep Vein Thrombosis (DVT) is the occurrence of Pulmonary Embolism (PE), which is a life threating diseases and is caused when a DVT breaks and travels to the blood vessels connected to the lungs.

The symptoms of Deep Vein Thrombosis (DVT)
According to the data published on  Centre for Disease Control and Prevention  website, from a recent survey conducted it has been estimated that almost 900,000 people suffer from Deep Vein Thrombosis (DVT) every year in the United States i.e. 2 in every 1000 people suffer from this life-threatening disease. 

This disease although life threatening can be taken into account by proper medical care at the early stages and therefore patients are advised to look out for any or all of the following symptoms-

The patient is experiencing pain, swelling or tenderness in one of their legs, although both might have been affected.
You have noticed a change in skin colour, and it has taken a reddish shade.
There is a warm sensation in and around the area of the clot.
The veins on your legs are appearing larger than they should.
Although all of these are proven symptoms for Deep Vein Thrombosis (DVT), it is common to have discomfort from swelling legs during pregnancy and does not always mean that the patient has symptoms of Deep Vein Thrombosis (DVT). If you are having the slightest thought that it may be a case of Deep Vein Thrombosis (DVT), you should immediately contact your GP, midwife, or call your maternity unit.

Treatment for Deep Vein Thrombosis (DVT)
When a patient is suffering from Deep Vein Thrombosis (DVT) and she is pregnant, anticoagulants, which is a medicine that prevents clotting of blood, is administered to them. While not all anticoagulants are safe to use during pregnancy, quite a few are. It is highly advisable that a doctor or medical practitioner is consulted before taking any further step.

How to prevent Deep Vein Thrombosis (DVT)
Like all diseases around the world, Deep Vein Thrombosis (DVT) is too a preventable one if the certain Do s and Don ts are kept in mind. Below is a list of certain things to keep in mind, in order to prevent Deep Vein Thrombosis (DVT)-

Being active and moving around regularly, will keep the blood circulation normal.
Beware of your family history and consult your doctor with the same.
Look out for symptoms and contact your doctor at once if you see one.
Every disease is preventable and curable. It is on us, what we choose to do with it, succumb to it, or stand up and fight it. Look out for the above-mentioned points and you will be at a safe distance from the clutches of Deep Vein Thrombosis (DVT).

Blood Clotting During & Post Pregnancy - How It Can Be Prevented?

The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment:

Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improve the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis
Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, the infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.

Endometriosis - How It Results in Infertility?

Recurrent pregnancy loss refers to the situation when three consecutive pregnancy loss takes place. A pregnancy loss is a clinically defined pregnancy which ends before twenty weeks.

Causes of recurrent pregnancy loss

Major cases of pregnancy loss occur due to genetic abnormalities and chromosomal abnormalities. The abnormality may occur from the sperm, egg or the early developed embryo.
Recurrent pregnancy loss may occur in a woman due to ascending maternal age. This happens because of poor quality of the egg, which further leads to chromosomal abnormalities. In some cases, the pregnant mother or the father can have some gene irregularities. In such cases, the would-be-born infant is affected, and this causes pregnancy loss or miscarriage.
Uterus abnormalities also lead to recurrent pregnancy loss. This may happen because of poor supply of blood to the uterus. Abnormalities in the uterus are in-born in some women and in others these may develop over time.
Women having a poor immune system are likely to suffer pregnancy loss. Abnormalities in hormone secretion like thyroid or diabetes may also cause pregnancy loss in women.
If a woman suffers from abnormalities in blood clotting, the chances of miscarriage are enhanced.
Testing for recurrent pregnancy loss
Several tests and examinations should be carried out for detection of pregnancy loss. 

Karyotype analysis of the woman and her male partner has to be conducted. Karyotype refers to the genetic or chromosomal constituents of an individual and this test is carried out to detect abnormalities in genes and chromosomes of the parents, which cause miscarriage when passed on to the developing infant.
Another test includes the evaluation of the uterus and the uterine cavity. This is done by ultrasound, saline ultrasound, MRI, hysterosalpingogram X  ray or by hysteroscopy. These tests help to get information on the uterus shape, about fibroid presence, detect abnormalities within the uterus and observe the opening and closing of the tubes. Tests to detect the functioning of hormones are also carried out.
Treatment
The treatment for women with recurrent pregnancy loss depends upon the underlying causes of the pregnancy loss.

In case of patients with karyotypic abnormalities, genetic counselling is recommended, where a specialist is consulted to know about chromosomal abnormalities.
Prenatal genetic studies are carried out by some couples to know about the offspring s genetic make-up. This is done with chorionic villus sampling or with amniocentesis. A process known as in vitro fertilization can be carried out.
In case of uterine abnormalities, a surgery may be performed and medications for reducing blood clot are used if antiphospolipid syndrome is detected.
Recurrent pregnancy loss may happen due to various reasons and proper tests, and treatment procedures should be carried out for curing pregnancy loss. This phenomenon affects a woman and her partner deeply.

Recurrent Pregnancy Loss - Know the Reasons Behind it!

Spitting up, refusing to try new foods and occasionally turning up their noses at feeding times, is normal but consistently refusing food and water, vomiting and allergies may indicate an underlying medical condition that requires attention. Common feeding problems that affect infants include sucking, prolonged chewing without swallowing, holding food in their mouth and grabbing food. Infants who are unable to close their mouths in order to keep food inside may also be said to be suffering from feeding problems.

Feeding problems could be triggered by medical conditions like a cleft palate, premature birth, respiratory problems, low birth weight etc. or by non-medical reasons such as the child s feeling of being unloved or stressed. Symptoms of feeding problems vary from infant to infant. However, some of the common symptoms exhibited are:

Problems with chewing

Excessive drooling

Refusing to eat foods or drink liquids

Long feeding times

Coughing or gagging while feeding

Difficulty with breast or bottle feeding

Nasal stuffiness while eating

Poor weight gain

Recurring respiratory infections

Vomiting or excessive spitting up of food

Arching the back while feeding

Disinterest in feeding

Though feeding problems are minor in most cases, it is important to consult a doctor if this behaviour continues over a period of time. This is because the child may be suffering from an underlying medical condition or could be at an increased risk of suffering from dehydration, aspiration and lung problems. It could also lead to delayed physical and mental development, speech problems and cognitive issues.

Feeding problems are addressed in many different ways. The first step to dealing with feeding problems is to change the texture and temperature of food being given to the baby. In addition, try changing the posture of the baby while feeding.

In some cases, mouth exercises may be needed to strengthen the mouth muscles. Chewing exercises and tongue movement may also help reduce feeding problems.

Encourage your infant to try different types of food by including different textures in their daily meals. Alternating food textures and liquids can make it easier for the infant to swallow the food. Do not force your child to eat in a hurry but let him or her take their own time.

In cases where the infant is not gaining weight, the doctor may suggest nutritional changes and a specific diet to help gain weight. In emergency cases, hospitalisation may also be required and your baby may be given a feeding tube to ensure he or she receives adequate nutrition.

12 Signs Your Child Is Not Eating Properly!

Impact of drinking water in plastic bottles

We store water in all sorts of plastic bottles, jugs or containers. It can be low grade or high grade, but plastic is plastic! This is a very harmful daily practice as plastic containers carry lot of chemicals and bacteria. 

Let s see the harmful effects of drinking water in plastic bottles:

1. Harmful substances: Apart from harmful chemicals in plastic, water when get stored in plastic bottles also produces harmful substances like fluoride, arsenic and aluminium which can be poison for human body. So, drinking water from plastic bottles would mean drinking slow poison that will slowly and steadily deteriorate your health.

2. Dioxin production: Plastic does melt in hot environment. And we, often store water in plastic bottles while driving and so many times leave it in the car where it is in the direct exposure of sun. Such heating releases a toxin called Dioxin which when consumed can accelerate breast cancer.

3. BPA generation: Biphenyl A is an estrogen-mimicking chemical which can lead to lot of health problems like diabetes, obesity, fertility problems, behavioural problems and early puberty in girls. It s better not to store and drink water from a plastic bottle.

4. Liver cancer and reduced sperm count: Because of presence of a chemical called phthalates in plastic, drinking water from plastic bottles can also lead to liver cancer and reduction in sperm count.

5. Vitamin based bottled water: Nowadays, we get water mostly in plastic bottles and to increase its health content, manufacturers make it vitamin-enriched to attract buyers. But this is even more harmful as it carries health-harming additives like food dyes and high fructose corn syrup.

6. Impact on immune system: Our immune system is immensely affected when we drink water in plastic bottles. The chemicals from plastic bottles are ingested and tend to  disturb our body s immune system.

If you would like to consult with me privately, please click on 'Consult'.

Nothing s more dangerous than drinking water in plastic bottles!

One of the most important decisions a couple takes is to start a family. It fills them with hope and joy of new future, but if the attempts have been unsuccessful for more than six months, it can take a toll on the relationship and the mental health of the couple. This is the time to seek fertility specialist who will be appropriate to analyze the situation and provide proper guidance. Read on to find out the exact indications to see a fertility specialist:

1. If a woman who is under the age of 35 is unable to get pregnant even after a year of having regular unprotected sex
2. A woman who has had more than three miscarriages
3. Someone who has suffered from blocked fallopian tubes and is in need of surgery
4. One who experiences irregular ovulation
5. A couple who has suffered from genital infections
6. A pregnant woman who has consumed an estrogen derivative
7. A man who has been diagnosed with low semen count, also known as poor motility
8. A couple who has not been diagnosed with any irregularity but is infertile

Which specialist should you visit?

If you or your partner or both have shown signs of infertility, then visiting the following specialists can be helpful:

Specialists for men

Urologists and Andrologists are specialists who treat men for infertility. Urologists conduct an analysis of semen quality, semen count, hormone levels, reproductive organs and abnormalities in bladder and kidneys. Andrologists are medical professionals who specialize in hormonal conditions and physiology of male infertility.

Specialists for women

Hormonal imbalance is one of the potent obstacles to pregnancy. If a general obstetrician/gynecologist has not been able to successfully treat a woman then she can visit a reproductive endocrinologist who specializes in hormonal disorders. Depending upon the nature of the problem, she can also visit a reproductive surgeon who deals with uterine abnormalities, endometriosis, and reproductive organ surgery.

When Should a Couple See a Fertility Specialist?

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